MR. TYLER BLOCKER CRNA
NPI 1205269305
Nurse Anesthetist, Certified Registered in Jackson, TN
About Mr. Tyler Blocker Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TYLER BLOCKER CRNA (NPI 1205269305) is an individual nurse anesthetist, certified registered in Jackson, Tennessee, licensed in Tennessee (17863) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Medical Center- Grenada, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Tyler Blocker Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Tyler Blocker reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, TN 38301
- Reassigned Medicare billing, Tennessee enrollment
- 190 clinicians in this Medicare group
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- 122 clinicians in this Medicare group
Grenada, MS 38901
- Reassigned Medicare billing, Mississippi enrollment
- 36 clinicians in this Medicare group
Greenwood, MS 38930
- Reassigned Medicare billing, Mississippi enrollment
- 3 clinicians in this Medicare group
Jackson, MS 39208
- Reassigned Medicare billing, Mississippi enrollment
- 154 clinicians in this Medicare group
Knoxville, TN 37916
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: American Anesthesiology Of Tennessee PC
- 959 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Medical Center- Grenada
Acute Care Hospitals · Grenada, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, TN 38301
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tyler Blocker's NPI number?
The NPI number for Tyler Blocker is 1205269305. It was assigned to this individual provider in the NPPES registry on August 13, 2013.
Where is Tyler Blocker located?
Tyler Blocker practices at 620 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 541-5000.
What is Tyler Blocker's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Tyler Blocker enrolled in Medicare?
Yes. Tyler Blocker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tyler Blocker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Blocker reassigns Medicare benefits to 6 organizations: Medical Center Anesthesia Inc. (Jackson, TN), Willow Anesthesia Services LLC (Oxford, MS), State Of Mississippi-University Of Mississippi Medical Center (Grenada, MS), Coleman Cataract And Eye Laser Surgery Center, Inc. (Greenwood, MS), Anesthesia Consultants PA (Jackson, MS) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Blocker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Blocker accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Tyler Blocker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Tyler Blocker affiliated with any hospitals?
According to CMS data, Tyler Blocker is affiliated with University Of Mississippi Medical Center- Grenada.
When was this NPI record last updated?
The NPPES record for Tyler Blocker was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Tyler Blocker, CRNA · NPI 1205269305
Nurse Anesthetist, Certified Registered physician in Jackson, Tennessee. Individual provider, active in the CMS NPPES registry since August 13, 2013.
## Identity
- **NPI:** 1205269305 (Entity type: Individual)
- **Enumerated:** August 13, 2013
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 17863 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 620 SKYLINE DR, Jackson, TN 38301-3923
- **Phone:** (731) 541-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Medical Center Anesthesia Inc. (NPI 1447591730, Jackson, TN); Willow Anesthesia Services LLC (NPI 1205169521, Oxford, MS); State Of Mississippi-University Of Mississippi Medical Center (NPI 1831520691, Grenada, MS); Coleman Cataract And Eye Laser Surgery Center, Inc. (NPI 1245480482, Greenwood, MS); Anesthesia Consultants PA (NPI 1750300836, Jackson, MS); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 24, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1205269305) · Data from the CMS NPPES public registry.